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Hip Disarticulation, Canadian Type, Molded Socket

South Carolina rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Rates data updated July 2026.

How much does Hip Disarticulation, Canadian Type, Molded Socket cost?

$3,548

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $4,365 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,311$2,754 to $4,677
FacilityA hospital or hospital-owned outpatient department$4,365$2,754 to $5,888

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,754 to $8,511Professionalmedian $3,311 · 10th to 90th $2,754 to $5,012
$2K$5K$10Kfacility $4,365professional $3,311

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,754.40
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,370.32
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,365.16
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,762.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,715.35
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,897.79
Typical High
$9,772.37
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,090.30
Typical High
$4,786.30

Where South Carolina sits

The same service costs 4.1 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 37th of 51

$3,548

HI $11,220DE $2,754

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.